This topic contains a solution. Click here to go to the answer

Author Question: A child has a platelet count of 45,000/mm3 with petechiae and excessive bruising covering his body. ... (Read 86 times)

iveyjurea

  • Hero Member
  • *****
  • Posts: 555
A child has a platelet count of 45,000/mm3 with petechiae and excessive bruising covering his body. The nurse is aware that these signs are clinical manifestations of:
 
  a. erythroblastopenia.
  b. von Willebrand's disease.
  c. hemophilia.
  d. immune thrombocytopenia purpura (ITP).

Question 2

What is an expected outcome for the child with von Willebrand's disease?
 
  a. Prevention of injury
  b. Maintaining adequate hydration
  c. Compliance with chronic transfusion therapy
  d. Prevention of respiratory infections



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

mammy1697

  • Sr. Member
  • ****
  • Posts: 341
Answer to Question 1

D
Excessive bruising and petechiae, especially involving the mucous membranes and gums in a child who is otherwise healthy, are the clinical manifestations of ITP, resulting from decreased platelets. The etiology of ITP is unknown, but it is considered to be an autoimmune process. The clinical manifestations of erythroblastopenia are pallor, lethargy, headache, fainting, and a history of upper respiratory infection. The clinical manifestations of von Willebrand's disease are bleeding from the gums or nose, prolonged bleeding from cuts, and excessive bleeding after surgery or trauma. Bleeding is the clinical manifestation of hemophilia and results from a deficiency of normal factor activity necessary to produce blood clotting.

Answer to Question 2

A
Hemorrhage as a result of injury is the child's greatest threat to life. Fluid volume status becomes a concern when hemorrhage has occurred. The treatment of von Willebrand's disease is desmopressin acetate (DDAVP), which is administered intranasally or intravenously. Respiratory infections do not constitute a major threat to the child with von Willebrand's disease.




iveyjurea

  • Member
  • Posts: 555
Reply 2 on: Jun 27, 2018
YES! Correct, THANKS for helping me on my review


brbarasa

  • Member
  • Posts: 308
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

Did you know?

According to the FDA, adverse drug events harmed or killed approximately 1,200,000 people in the United States in the year 2015.

Did you know?

The National Institutes of Health have supported research into acupuncture. This has shown that acupuncture significantly reduced pain associated with osteoarthritis of the knee, when used as a complement to conventional therapies.

Did you know?

Cytomegalovirus affects nearly the same amount of newborns every year as Down syndrome.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

For a complete list of videos, visit our video library